diff --git a/ui/survei_lapangan.html b/ui/survei_lapangan.html
index c052d50..eb9f48e 100644
--- a/ui/survei_lapangan.html
+++ b/ui/survei_lapangan.html
@@ -75,6 +75,18 @@
                             <label class="block text-sm font-medium text-gray-700 mb-1">Jumlah Anggota Keluarga Tanggungan</label>
                             <input type="number" id="input_jumlah_tanggungan" min="0" class="w-full p-3 rounded-lg border border-gray-300 focus:ring-2 focus:ring-emerald-500 outline-none" placeholder="Contoh: 4">
                         </div>
+                        <div>   
+                            <label class="block text-sm font-medium text-gray-700 mb-1">Agama Kepala Keluarga</label>
+                            <select id="input_agama" class="w-full p-3 rounded-lg border border-gray-300 focus:ring-2 focus:ring-emerald-500 outline-none">
+                                <option value="">Pilih Agama...</option>
+                                <option value="Islam">Islam</option>
+                                <option value="Kristen Protestan">Kristen Protestan</option>
+                                <option value="Katolik">Katolik</option>
+                                <option value="Hindu">Hindu</option>
+                                <option value="Buddha">Buddha</option>
+                                <option value="Konghucu">Konghucu</option>
+                            </select>
+                        </div>
                     </div>
 
                     <div id="langkah_2" class="hidden space-y-4">